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1568029031
SHAKERIA STUMPS
VIDALIA, LA
NPI
1568029031
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-05-21
Last Update Date
2019-12-04
Business Address
SHAKERIA STUMPS
4012 CARTER ST
VIDALIA, LA 71373
Phone number: 318-336-8383
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Mailing Address
SHAKERIA STUMPS
4012 CARTER ST
VIDALIA, LA 71373-3013
Phone number: 318-336-8383
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